U5 Health Screening/Contact Tracing (Apsley Minor Hockey)

Print U5 Health Screening/Contact Tracing
Once you have completed this form, the AMHA and your team manager will receive a copy. You may only complete this form no sooner than 4 hours and no later than 1 hour before your scheduled ice time. Thank-you for your cooperation.
Player/Parent Information
  1. Please enter first and last name
  2. Please enter first and last names or leave blank if participant is attending alone
  3. A copy of your form submission will be sent to this address as confirmation
  4. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Screening Questions
The answer to all questions must be “No” in order to participate in any and all hockey activities.
Human Validation
View AllOur Sponsors
  • Accurate Tax
  • Brad Sinclair Flatrate Realty Corp.
  • Apsley Dental
    
  • AB Construction
  • Apsley Pharmacy
  • North Kawartha Cleaning
    
Social Networking
Follow Us On
Follow Apsley Minor Hockey on Twitter
- and -
Visit Apsley Minor Hockey on Facebook
Manage Subscriptions
Signup to receive email or text messages for the teams you want to follow.
Printed from apsleyminorhockey.com on Thursday, January 27, 2022 at 9:56 PM